Inspection on 25/06/08 for Rosecroft Residential Home

This inspection was carried out on 25th June 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Rosecroft Residential Home 66 Plaistow Lane Bromley Kent BR1 3JE Lead Inspector Ann Wiseman Unannounced Inspection 25th June 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosecroft Residential Home Address 66 Plaistow Lane Bromley Kent BR1 3JE Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 4644788 CNV Limited Mrs Cheryl Angela Fincham Care Home 20 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (20) of places Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following categories of service: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - Code DE 2. Old Age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 20 This is a new service. Date of last inspection Brief Description of the Service: Ashdene is a Victorian style older detached building, which is situated on a main road, with some off street parking available at the front. It is near to local shops and main public transport links, including a main line railway station. Accommodation is provided on 3 floors (ground, first and second), with the majority of bedrooms on the ground and first floors. All of the bedrooms are provided with en-suite toilet facilities. There is a shared bathroom and another shower room in addition to the ensuite facilities. Fourteen bedrooms are for single use, and three rooms for shared use. A small passenger lift provides easy access to the first floor. The basement includes the laundry facilities, and is only for staff use. Communal space is provided on the ground floor, and comprises a large airy dining room, which leads into a large lounge - which in turn leads to a conservatory through which the garden is accessed. This is a new service in as much as it has recently been taken over by new providers and registered in their name, CNV Limited, but the people living in the home and the majority of staff remains the same. The registered manager has not been working for some time so we have asked the person acting as manager to register with us as the home has suffered due to a lack of leadership. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection and we arrived at the house at 9.30am and were met at the door by the acting manager who facilitated the inspection and was open and friendly throughout the visit. We were on site for six hours. During the day we met and chatted to several people as we were shown around the building. The house was clean and tidy and the atmosphere was friendly and congenial, interaction between the staff and the people living in the home was friendly, and staff responded to them in a supportive and respectful manner. The acting manager has sent us the Annual Quality Assurance Assessment (AQAA) she had completed. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gave us some numerical information about the service. We also talked to people and looked at two of their care plans. We inspected two staff personnel files and sampled health and safety records, which were up to date and in order. Overall the home was found to be comfortable and able to meet the needs of those living there. The new owners have already made a start in a much-needed programme of redecoration and the house is looking better already. The present manager has been in post since January 08 and has already had a positive effect on the home. Before CNV Ltd took over the running of this house it had been struggling to maintain standards but recent comments from family members indicated that the day-to-day living for the people living in the home has improved. What the service does well: Lunch was a relaxed occasion, people were offered a choice of two meals; they were shown two plates and were asked to choose which they wanted. Condiments were on the table and no one was rushed. Care plans are being developed in a way that will reflect people’s needs and the manager has said that she is going to make sure that they are person centred and wants to make sure that personal histories reflect the true picture of the person and their past achievements as well as their present hopes and expectations. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3, 5 and 6 were examined on this occasion. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People considering moving into Rosecroft are given enough information to enable them to make an informed choice about the home and have an opportunity to visit and assess the suitability of the service. Peoples needs are assessed before anyone moves in. This service does not offer Intermediate care. EVIDENCE: As part of the process of registration a thorough examination of it’s Statement of Purpose and User Guide was made by our registration team to make sure it covered all the areas required by the Care Homes Regulations. They were found to have met the standard. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 9 During this inspection we examined two peoples files and found that they contained assessments that had been done before people moved into the home, they were detailed and contained personal histories. In the Annual Quality Assurance Assessment (AQAA) the acting manager said that, “In depth assessments are carried out by a competent person before admission so that we can meet peoples needs fully and put into place any involvement required from outside agencies.” The acting manager told us that she is in the process of working through the personal files of everyone including those people who were already living in the home when the present company took over running it. She intends updating all the care plans to make sure the required information is included and will make their content more uniform. People are given an opportunity to look around before they decide if they want to move in. This service offers care to people who have dementia so in reality it is often the family who arrange admittance, provide information and make the final decision to move their relative in. People who replied to the survey we sent to them prior to the inspection confirmed that they has been given sufficient information about the house and that they thought the home could meet their relatives needs. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards 7, 8, 9 and 10 were inspected during this visit. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People living in this home benefit from having care plans in place and having their health needs fully met. Medication is managed appropriately, people are treated with respect and their privacy is upheld. EVIDENCE: The home is in the process of restyling all of the care plans so those we saw during the visit was a mixture of old and new. The AQAA says that, “care plans are written using information gathered from the person it involved, their families and as many other sources as possible. The care plan will be reviewed monthly and updated to reflect any changes.” The new styled plan we saw was well presented and contained enough information for carers to be able to offer support in a way that the people prefer and had been reviewed monthly. Relatives agreed that they were asked to supply information for inclusion in the plan. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 11 Files evidenced that people received the health care they need. Records of doctor’s visits and hospital appointment letters were on file. People also have access to dentists, opticians and chiropodist as well as specialist care such as psychiatry and speech and language. All appointments and their outcomes are recorded on the care plan. Since the new management has taken control, completely new medication storage arrangements have been put in place. A new medication and controlled drug cabinet has been placed in the corner of the dinning area. The home took professional advice and the new system compiles with requirement. Staff have been undertaking updated medication training, we saw notes that indicate that people are assessed as competent before they are able administer medication. We carried out a check on the medication and it’s records and no errors were found. The carer who assisted us with the check displayed a good knowledge of the homes medication policy and the procedure. We had a discussion with the acting manager about recent concerns raised in the media due to the publication of the report, A Last Resort, from the all-party parliamentary group on dementia. It said that thousands of dementia patients are being given dangerous anti-psychotic drugs just to keep them quiet, the report goes on to warn that almost three-quarters of those taking the drugs, up to 105,000, are given them inappropriately. It is recommend that the acting manager should have peoples medication reviewed to ensure that they are only being prescribed appropriate medication. The acting manager assures us in the AQAA that all staff treat people with respect and uphold their privicy. Staff personnel files held evidence that staff receive training in this area and observation of interactions between people and staff members was seen to be respectful, discreate and supportive. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards 12, 13, 14 and 15 were assessed during this inspection. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. This home offers a daily routine that is varied and flexible, people’s interests are recorded and they are given opportunities for stimulation through leisure and recreation. Visitors are made welcome at the home and people can receive visitors in private and are supported to exercise choice and control over their lives. Menus are varied and food portions are ample. EVIDENCE: When assessments are being done people and their relatives are asked to talk about what they like to do and how they can be helped to continue with their favourite activities. They are also asked what food they like and other lifestyle preferences. We examined two care plans and found that the details collected during the assessments were then put into them, making it possible for staff to offer support in a way that would be liked by the people receiving it. Relatives said that they had been asked to take part in this process in the surveys returned to us. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 13 The acting manager told us that this is one of the areas she wants to concentrate on improving as she develops her new style care plan. She believes that the more staff know about the people they care for, the more person centred the service they get will be. Visitors have told us that they are made welcome and will be offered a drink when they arrive. There are regular relatives meetings where a wide range of topics is raised. The relatives set the agenda and minutes are kept of the meetings. Some relatives set up a support group under the previous owners and have continued to meet since the changes. As well discussing areas of concern and supporting each other, the group put a lot of work into providing outings and activities within the home such as parties and summer BBQ’s. Religious services are held in the home monthly. We talked with the cook who indicated that he knew peoples individual needs by listing those people who are diabetic and someone who needed a special diet. He holds catering qualifications and is responsible for keeping health and safety records in the kitchen which were complete and up to date. The dinning room has been decorated recently and new flooring has been laid, the overall effect has been to lighten the whole room. Dining tables were covered with clean white tablecloths and condiments were put out for people to use if they wanted them. Drinks were also available. It was good to see that people were not stigmatised by the use of bibs but were given clean linen napkins to protect their clothes. We observed lunch being served. There was a choice of two meals and everyone was shown both and asked to choose which they wanted. Gravy was offered separately and if someone didn’t want either choice they were offered an alternative. The portions were tailored to each person and seconds were offered. People who needed help to eat was given it from staff who sat with them at the table and interacted in a positive way. The whole meal was a leisurely and relaxed affair. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards 16, 17 and 18 were judged during this visit. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Relatives are confident that their complaints will be listened to and acted upon. Legal rights are protected and those without capacity are facilitated to access available advocacy services. The homes policy, procedures and practice are aimed at protecting people from abuse. EVIDENCE: People who responded to our survey felt that they and their relative would be listened to if they made a complaint and that it would be dealt with in a way that was appropriate. Complaints and their outcomes are recorded in the homes complaints book and there is a policy in place. We examined the complaints book and records kept were as required. There haven’t been any complaints regarding this home raised directly with us. One of the care plans we looked at showed evidence that the person didn’t have anyone able to act on their behalf and that the home had made arrangements for an advocate to support them. This home offers care primarily to people with dementia so it is important that they work within the new Mental Capacity Act 2005 and that the manager and staff have a good understanding of it. We recommend that training be provided for all the staff. Staff have already undertaken safeguarding training. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 25 and 26 were assessed during this inspection. People who use the service receive Adequate quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People living in the home have access to comfortable indoor and outdoor communal facilities. The house is clean but is in need of some repair and maintenance. There are some health and safety issues that need to be addressed. EVIDENCE: The building, decoration and furniture was in a poor physical condition when the home was taken over by the present owners. They have already improved the environment greatly and intend refurbishing the whole building and are in the process of working from room to room decorating and upgrading furniture and soft furnishings. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 16 They have also employed a maintenance person who will be responsible for keeping it in good condition once the home it up to standard. The bedrooms were individual to each person and there were personal possessions, pictures and ornaments in the rooms. The laundry is in the basement and is not meant to be accessible to people living in the home, as the stairs are very steep and because of a deep drop in front the boiler. However when we tried the door it was unlocked. It is very important that the lock is not deactivated even if the person leaving it open intends to return to the room quickly. All staff must be reminded not to leave this door unlocked. The sink in the laundry had been out of order for many months under the old ownership. It has now been repaired and there were full soap and paper hand towel dispensers over the sink, in the past these were not available. It was difficult to determine how the laundry is kept clean. The concrete flooring was not in good condition and the position of the washing machine and dryer meant its not possible to clean behind these heavy industrial machines without either moving them or climbing over them. Staff were not able to tell us how this is accomplished. The build up of fluff from the tumble dryer is a fire risk so it must be removed regularly. A comprehensive cleaning schedule should be in place with a plan of how to reach difficult to access areas. Risk assessments must be in place to minimise the risk of staff hurting themselves while trying to carry out the task. Most of the basement area is lined with fire retardant sheeting, but we noticed that in areas where repairs have been carried out the sheeting has been removed and the floorboards of the rooms above are exposed. One of these areas is directly above the gas boiler. This breaches the integrity of the fire safety precautions in the basement. The home has recently had a fire safety assessment done by an independent specialist company and are waiting for the report. They intend to fully implement any recommendations that are made. We have spoken to the manager about the breach in the fire precautions in the basement and she has undertaken to discuss the situation with the company and get the fire retardant sheets replaced as soon as possible. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards 27, 28, 29 and 30 were inspected on this occasion. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People living in the home have their needs met by sufficient numbers of staff on duty that are well trained and qualified. The homes recruitment policy meets requirement and staff receive training. EVIDENCE: We looked at three personnel files and spoke to three staff members. The files contents and the people we spoke with confirmed that the required recruitment procedure is carried out and that safeguarding checks are completed before people start work in the home. Supervision and training records were on file. While we were at the house there were sufficient staff on duty to meet the needs of the people. We were able to see that the staff are capable and those we spoke to displayed a good knowledge of how to care for older people. The Manager has said that she is investigating opportunities for the staff to take training in specialist areas such as dementia care. During the last twelve months training in the following areas have been offered: Manual Handling, Dementia Care, Safe Handling of Medicines, First Aid, Fire safety, Adult Protection, Report Writing, Communication Skills, Understanding Older People, Working with Relatives and Food Hygiene. Also NVQ 2 and 3 in care. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards 31, 33, 35 and 38 have been examined on this occasion. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People benefit from a home that is well managed by a person who is qualified, experienced and fit to be in charge. She puts peoples need to the fore and runs the home in their best interests. EVIDENCE: By achieving so much improvement in such a short time the acting manager has shown that she is organised and committed. During our discussions she has shown herself to have a good understanding of people with dementia and she has realistic and practical plans to improve the standard of care for the people living in this home. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 19 One relative, who was unhappy at the care their relative received prior to her taking up post, has contacted us to tell us how much happier they are now and how well their relative is doing. That person looks forward to even more improvement. The acting manager is in the process of undergoing registration with us and will have to prove that she is a fit person to run a care home before she can become registered. Through the support group, relatives are active in ensuring that the home is run in the best interest of their family member. The home also holds relative meetings that are attended by the manager and sometimes the provider and sends out an annual quality assurance questionnaire, so people are able to voice their feelings about the way the home is run. When people returned our surveys they said that they felt the home listened to what they had to say and ran the home in the best interests of the people living in it. The home does not manage any of the peoples monies, they encourage relatives to take control if people can’t manage it themselves and will arrange independent support if they do not have anyone to support them. The home keeps a small amount of spending money for day-to-day expenses and will keep records of money spent and receipts. If someone needs something and does not have any money it will be provided and the relatives will be invoiced. Apart from the issues already raised in other areas of this report, health and safety is properly addressed. We checked a small sample of the health and safety records and found that they were up to date and properly recorded. Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 2 X X X X 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP30 OP19 Good Practice Recommendations All staff should undergo training covering the Mental Capacity Act 2005 It is important that people are kept safe, the basement is not a safe area for people with impaired mobility or judgement, so access to that area should be restricted and care must be taken that it is not left unlocked at any time. Consideration should be given to placing a notice to that effect on the door and staff must be reminded to keep the door locked. Risk assessments and plans and should be done about how to get to those areas that are difficult to access but need to be reached for cleaning, especial where not doing so will have health and safety implications. Fire precautions in the basement should be maintained and kept intact and replaced if disturbed during maintenance. 3 OP19 4 OP19 Rosecroft Residential Home DS0000072016.V366387.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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